Organization Name: | NORTH LAND MUNICIPAL AMBULANCE INC |
NPI Number: | 1093904393 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAEANN LOUISE ALLEN (MANAGER) |
Mailing Address: | 636 S Main St Luck |
State: | WI US |
Postal Code: | 548539036 |
Phone Number: | 7154722388 |
Fax Number: | 7154728411 |
NPI Enumeration Date: | 10/23/2007 |
NPI Last Update Date: | 02/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 6001115 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |